5S Routine Audit Form
Short Description
5S audit forms. Housekeeping....
Description
SORT (Seiri) 8
SA 5S Routine Audit Form Audit Date:
SET IN ORDER (Seiton)
5 5
Auditor(s):
Exit the program
6 7
4
SUSTAIN (Shitsuke)
5 6
Area Audited:
10 10 10 10
SHINE STANDARDIZE (Seiso) (Seiketsu)
Id
Previous Audits
Title
Points
1
2
3
4
SORT (Seiri)
“Separate things which you need from things you don’t need”
5
7
5
3
8
S2
SET IN ORDER (Seiton)
“Keep conditions which allow you to easily access what you need, when you want”
5
5
7
4
5
S3
SHINE (Seiso)
“By cleaning you identify causes. Clean (all) places to keep dirties and dust away”
5
5
8
5
6
S4
STANDARDIZE (Seiketsu) “Making abnormalities obvious with visual controls”
6
3
5
6
5
S5
SUSTAIN (Shitsuke)
7
8
9
9
9
10 9 8 7 6 5 4 3 2 1 0 Column I
System need improvement
Row 10 Row 7
Column J
Column K
Column L
10 9 8 7 6 5 4 3 2 1 0 Column I
10 9 8 7 6 5 4 3 2 1 0 Column I
Row 11 Row 7
Column J
Row 13 Row 7
Column J
Column K
Column L
Reference Only
Column K
Column L
10 9 8 7 6 5 4 3 2 1 0 Column I
10 9 8 7 6 5 4 3 2 1 0 Column I
28 34 27 33
Row 12 Row 7
Column J
Row 14 Row 7
Column J
Column K
Target
_
Conclusion is:
28
_
5S Score
Action Plan
_
“Make habit of obedience to the rules”
23/06/05
S1
5S
Column L
Column K
Column L
10 10 10 10 10 50
Reference Only
1 1 1 1 1 5
Reference Only
SA 5S Routine Audit Form
Separate things which you need from things you don’t need Id
S1=Seiri=Sort=Clear up Are there any useless things that can bother your work environment?
1 2
Are there any useless raw materials, finished products, pallets, boxes and/or waste in the work area? Are there any tools, spare parts, materials left on the floor, nearby equipment?
3 4
Yes
Observations, comments, improvement suggestions found during S1 step check
✘
0
✘
0
✘
0
Are all frequently used objects sorted, arranged, stored in their home and labeled?
0
Are all measurement instruments/devices sorted, arranged, stored and labeled? 5 6
0 Does the inventory or in-process inventory include any unneeded materials or parts?
1
Are there any unused machines or other equipment around? 7
1 Are there any unused jigs, tools, dies or similar items around?
8
1 Is it obvious which items have been marked as unnecessary?
9
1 Has establishing the 5S's left behind any useless standards?
10
1
Score
5
S Module NOT OK
Reference Only
SA 5S Routine Audit Form
“Keep conditions which allow you to easily access what you need, when you want” Id
1 2 3 4
S2=Seiton=Set In Order =Keep in good order Are access roads, storage areas, working places and equipment’s surroundings clearly defined?
✘
It is understandable what is the usefulness of all the pipes, cables? Are these easy to be identified?
✘
Are the tools/devices/instruments properly organized în two categories: “regular” and “special destination”?
✘
Are all containers, recipients, pallets and NTMs stored in an appropriate manner?
✘
Is there anything too close to fire extinguisher? 5 Does the floor have any cracks, drops or variation în level? 6 7
Yes
Observations, comments, improvement suggestions found during S2 step check
✘ ✘
Are shelves and other storage areas marked with location indicators and addresses? Do the shelves have signboards showing which items go where
8 Are the maximum and minimum allowable quantities indicated? 9 10
Are white lines or other markers used to clearly indicate walkways and storage areas?
Score
5
S Module NOT OK
Reference Only
SA 5S Routine Audit Form
By cleaning you identify causes. Clean (all) places to keep dirties and dust away Id
1 2
S3=Seiso=Shine=Clean up
Yes
Observations, comments, improvement suggestions found during S3 step check
Check carefully the floor, the acces roads and equipment’s surroundings! Can you find or notice oil stains, dust, fillings and waste?
1
Are there any parts from the machines/equipment dirty? Can you find or notice oil stains, dust, fillings and waste?
1
Are any supplying pipes/ belts greasy, dirty or cracked? 3
1 Is the draining system for waste and oils clogged (totally or partially)?
4
1 Is the lighting environment affected? Any dirty light bulbs or windows?
5
1 Are floors kept shiny and clean and free of waste, water and oil?
6
0 Are the machines wiped clean often and kept free of shavings and oil?
7
0 Is equipment inspection combined with equipment maintenance
8
0 Is there a person responsible for overseeing cleaning operations?
9 10
0 Do operators habitually sweep floors and wipe equipment without being told?
Score
0
5
S Module NOT OK
Reference Only
SA 5S Routine Audit Form
Making abnormalities obvious with visual controls Id
S4=Seiketsu=Standardize=Maintain Do you wear a dirty or inappropriate clothing?
1 Does your workplace have adequate light and aeration? 2 Are there any problems regarding noise, vibrations and heat/cold? 3 Is the roof cracked? How about ventilation? 4 Do you have designated areas for eating and smoking? 5 Are improvement memos regularly being generated? 6 Are improvement ideas being acted on? 7 Are standard procedures writtten, clear and actively used? 8 9 10
Are the future standards being considered with a clear improvement plan for the area?
Yes
Observations, comments, improvement suggestions found during S4 step check
✘
0
✘
1
✘
0
✘
0
✘
1
✘
1
✘
1
✘
1
✘
1
Are the first 3S's (Sort, Set Locations & Limits and Shine & Sweep) being maintained?
Score
0
6
S Module OK
Reference Only
SA 5S Routine Audit Form
“Make habit of obedience to the rules” Id
S5=Shitsuke=Sustain=Self-discipline Are you doing the daily cleaning checking?
1 Are the daily reports correctly done and în due time? 2 Do you wear a appropriate labor protection clothing? 3 Do you wear badges and helmet – when necessary? 4 Are the modular group members fulfilling the meetings’ schedules? 5 Is everyone adequately trained in standard procedures? 6 Are tools and parts being stored correctly? 7
Yes
Observations, comments, improvement suggestions found during S5 step check
✘ ✘ ✘ ✘ ✘ ✘ ✘
Are stock controls being adhered to? 8 Are procedures up-to-date and regularly reviewed? 9 Are activity boards up-to-date and regularly reviewed? 10
Score
7
S Module OK
Reference Only
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